Medical Massage For Insurance
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When Will Your Insurer Cover Massage Therapy?
Many people are turning to massage therapy to treat their medical condition but not all insurance policies cover them.
Insurers have a different definition of massage therapies. The reason why you want or need to get the treatment will determine if your insurance policy will cover it or not.
As of now, there’s no standard insurance policy that covers massage therapy services. It all depends on your insurance company.
Here are some cases where massage therapy may be covered by your insurance plan:
When Can Your Doctor Prescribe Massage Therapy?
Massage therapy can be prescribed by your doctor. As previously mentioned, insurance companies are more likely to cover massage therapies if they’re prescribed or considered as medically necessary.
Several doctors are also turning to massage therapies as a complementary option to help their patients. A survey by the American Massage Therapy Association (AMTA) found that many patients have been recommended by their doctors to get a massage.
You can ask your doctor if they can prescribe massage therapy if you have the following conditions:
What Forms Of Massage Therapy Are Covered By Insurance?
Some health care providers, like chiropractors, osteopaths, physical therapists, and occupational therapists use massage techniques in their services.
In these instances, your insurance plan may cover your visit with these specialists. However, it doesn’t include massage therapists.
That’s why it’s best to call your insurer first before you book an appointment for massage therapy. Knowing if it’s covered and how much it’ll cost you will give you an idea of whether you can afford it or not.
Which Insurance Companies Cover Massage Therapy?
As mentioned, not all insurance companies cover massage therapy. Listed below is a list of common insurance companies and whether or not they cover massage therapies.
Many people are turning to massage therapy to treat their medical condition but not all insurance policies cover them.
Insurers have a different definition of massage therapies. The reason why you want or need to get the treatment will determine if your insurance policy will cover it or not.
As of now, there’s no standard insurance policy that covers massage therapy services. It all depends on your insurance company.
Here are some cases where massage therapy may be covered by your insurance plan:
- If it’s prescribed or recommended by your doctor or medical professional
- If it’s considered medically necessary
- If it fits the criteria set by your insurance company
- If it falls under the “habilitative or habilitation” treatment category
- If it’s necessary during the acute phase of your medical treatment
When Can Your Doctor Prescribe Massage Therapy?
Massage therapy can be prescribed by your doctor. As previously mentioned, insurance companies are more likely to cover massage therapies if they’re prescribed or considered as medically necessary.
Several doctors are also turning to massage therapies as a complementary option to help their patients. A survey by the American Massage Therapy Association (AMTA) found that many patients have been recommended by their doctors to get a massage.
You can ask your doctor if they can prescribe massage therapy if you have the following conditions:
- Fibromyalgia
- Sports injuries
- Soft tissue sprains
- Temporomandibular joint pain
- Nerve pain
- Myofascial pain syndrome
- Paresthesia
What Forms Of Massage Therapy Are Covered By Insurance?
Some health care providers, like chiropractors, osteopaths, physical therapists, and occupational therapists use massage techniques in their services.
In these instances, your insurance plan may cover your visit with these specialists. However, it doesn’t include massage therapists.
That’s why it’s best to call your insurer first before you book an appointment for massage therapy. Knowing if it’s covered and how much it’ll cost you will give you an idea of whether you can afford it or not.
Which Insurance Companies Cover Massage Therapy?
As mentioned, not all insurance companies cover massage therapy. Listed below is a list of common insurance companies and whether or not they cover massage therapies.
How Can You Confirm If Massage Therapy Is Covered By Your Insurance Policy?
Before you book a massage therapy session, you need to make sure that your insurer will cover the treatment.
Before you book a massage therapy session, you need to make sure that your insurer will cover the treatment.
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Steps For Submitting A Medical Massage Insurance Claim:
- Contact your insurance provider to see if your active plan covers medical massage therapy. If it does, identify any limitations for coverage and have a copy of this to provide your physician as well as your provider's company. If you have an account with Body Smirks By Ryan Potter, it is required to attach a photo of the portion of your Physician referral/prescription as well as your active qualified plan that shows the details for Massage Therapy.
- Provide a referral or prescription for medical massage from your Doctor stating the goal(s) for massage therapy that your active plan covers and how long the referral/prescription is able to be used.
- Receive a receipt for payment and SOAP notes of your medical massage session.
- Fill out CMS Form 1500 with the appropriate details including the provider's National Provider Identifier registered with NPPES and Massage License Number registered with the Department of Licensing Registration. For CMS Form 1500 and details assisting with each box in CMS Form 1500 see below steps.
- Submit a medical massage re-imbursement claim providing your insurance company with everything listed above.
- Please note that standard insurance claims can take about 30 days for re-imbursement. It is strongly recommended to stay in touch with your case manager to make sure that everything has been submitted accordingly for approval.
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Massage Prescribed by a PhysicianMassage therapy can be prescribed by your doctor. If you are suffering from any of the following conditions, consult your active insurance plan as well as your physician to see if Massage Therapy could be a treatment option:
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Massage SOAP NotesSOAP (subjective, objective, assessment and plan) notes are an integral part of the vocation of massage therapy. Massage therapists rely on SOAP notes to help create long-term plans for client care, and insurance companies insist on them in order to process reimbursement.
CMS Form 1500The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims. It is also used for billing of some Medicaid state agencies.
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Body Smirks LLC
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Wellness Services since July 2015
Solo Practitioner Ryan Potter's TX License #: MT128655
Solo Practitioner Ryan Potter's TX License #: MI3724
Solo Practitioner Ryan Potter's NPI #: 1982209698
San Antonio, TX